| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,889.41 | $1,889.41 | $1,889.41 | |
Aetna
| Professional | $58.77 | $165.18 | $668.71 | |
BCBS
| Professional | $186.64 | $220.00 | $647.51 | |
Cigna
| Professional | $99.49 | $159.29 | $647.51 | |
MVP Health Care
| Professional | $114.04 | $210.66 | $647.51 | |
United
| Professional | $168.21 | $189.98 | $794.75 |